<div id="ajax-conta-empyt">
	<!-- selecione -->
</div>

<div id="ajax-conta-mensal">
    <label>Valor<span class="required">*</span></label>
    <input name="valor" id="valor" type="text" value="" style="width: 90px;" />
    <br />
    <label>N&uacute;mero de Parcelas<span class="required">*</span></label>
    <select name="numeroParcelas" id="numeroParcelas" style="width: 50px;">
    	<option value="1">1</option>
    	<option value="2">2</option>
    	<option value="3">3</option>
    	<option value="4">4</option>
    	<option value="5">5</option>
    	<option value="6">6</option>
    	<option value="7">7</option>
    	<option value="8">8</option>
    	<option value="9">9</option>
    	<option value="10">10</option>
    	<option value="11">11</option>
    	<option value="12">12</option>        
    </select>
    <br />									
    <label>Data de Vencimento<span class="required">*</span></label>
    <input name="dataVencimento" id="dataVencimento" class="data" type="text" />
</div>

<div id="ajax-conta-trimestral">
    <label>Valor<span class="required">*</span></label>
    <input name="valor" id="valor" type="text" value="" style="width: 90px;" />
	<input name="numeroParcelas" id="numeroParcelas" type="hidden" value="1" />
    <br />
    <label>Data de Vencimento<span class="required">*</span></label>
    <input name="dataVencimento" id="dataVencimento" class="data" type="text" />
</div>

<div id="ajax-conta-semestral">
    <label>Valor<span class="required">*</span></label>
    <input name="valor" id="valor" type="text" value="" style="width: 90px;" />
	<input name="numeroParcelas" id="numeroParcelas" type="hidden" value="1" />
    <br />
    <label>Data de Vencimento<span class="required">*</span></label>
    <input name="dataVencimento" id="dataVencimento" class="data" type="text" />
</div>

<div id="ajax-conta-anual">
    <label>Valor<span class="required">*</span></label>
    <input name="valor" id="valor" type="text" value="" style="width: 90px;" />
	<input name="numeroParcelas" id="numeroParcelas" type="hidden" value="1" />
    <br />
    <label>Data de Vencimento<span class="required">*</span></label>
    <input name="dataVencimento" id="dataVencimento" class="data" type="text" />
</div>